Organization
KEVIN J MCBRIDE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J MCBRIDE MD (PRESIDENT)
(617) 296-0242
Entity
Organization
Contact information
Practice address
2110 DORCHESTER AVE, DORCHESTER CENTER, MA 02124-5628
(617) 296-0242
Mailing address
2110 DORCHESTER AVE, DORCHESTER CENTER, MA 02124-5628
(617) 296-0242
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
44628
MA
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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